ICD-10: E11.628

Type 2 diabetes mellitus (T2DM) is a chronic condition characterized by insulin resistance and relative insulin deficiency, leading to elevated blood glucose levels. The ICD-10 code E11.628 specifically refers to T2DM with other skin complications, which can manifest in various ways. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this code is crucial for effective diagnosis and management.

Clinical Presentation

Patients with E11.628 may present with a range of skin complications that are directly related to their diabetes. These complications can include:

• Diabetic Dermopathy: Often characterized by light brown, scaly patches on the skin, typically found on the shins. These lesions are usually asymptomatic but can be a sign of microvascular complications.
• Acanthosis Nigricans: This condition presents as dark, velvety patches of skin, commonly found in body folds such as the neck, armpits, and groin. It is often associated with insulin resistance.
• Fungal Infections: Patients may experience recurrent fungal infections, particularly in warm, moist areas of the body, such as the groin and under the breasts.
• Bacterial Infections: Skin infections, including cellulitis and abscesses, can occur more frequently in diabetic patients due to impaired immune response.
• Diabetic Blisters: These are rare but can occur, presenting as large, painless blisters on the skin, often on the hands and feet.

Signs and Symptoms

The signs and symptoms associated with E11.628 can vary widely among patients but typically include:

• Skin Changes: The presence of lesions, discoloration, or thickening of the skin, particularly in areas prone to friction or pressure.
• Itching or Irritation: Patients may report itching or discomfort in affected areas, particularly with fungal infections or dermatitis.
• Delayed Wound Healing: Skin injuries may take longer to heal, leading to complications such as ulcers or infections.
• Pain or Discomfort: In cases of severe infections or diabetic foot ulcers, patients may experience pain, swelling, and redness in the affected area.

Patient Characteristics

Certain characteristics are commonly observed in patients diagnosed with E11.628:

• Age: T2DM is more prevalent in adults, particularly those over the age of 45, although increasing numbers of younger individuals are being diagnosed.
• Obesity: Many patients with T2DM are overweight or obese, which is a significant risk factor for the development of skin complications.
• Sedentary Lifestyle: A lack of physical activity can contribute to the progression of diabetes and its complications.
• Poor Glycemic Control: Patients with consistently high blood glucose levels are at greater risk for skin complications, as hyperglycemia can impair immune function and wound healing.
• History of Skin Issues: A personal or family history of skin conditions, such as eczema or psoriasis, may increase susceptibility to skin complications in diabetic patients.

Conclusion

The ICD-10 code E11.628 encompasses a variety of skin complications associated with type 2 diabetes mellitus. Recognizing the clinical presentation, signs, symptoms, and patient characteristics is essential for healthcare providers to implement appropriate management strategies. Effective control of blood glucose levels, along with regular skin assessments, can help mitigate the risk of these complications and improve overall patient outcomes. Regular follow-ups and patient education on skin care are also vital components of managing T2DM and its associated skin issues.

ICD-10 code E11.628 refers specifically to "Type 2 diabetes mellitus with other skin complications." This code is part of the broader classification of diabetes mellitus within the International Classification of Diseases, 10th Revision (ICD-10). Below are alternative names and related terms associated with this code.

Alternative Names for E11.628

1. Type 2 Diabetes with Skin Issues: A general term that encompasses various skin complications arising from Type 2 diabetes.
2. Type 2 Diabetes with Dermatitis: Refers to skin inflammation that can occur in diabetic patients.
3. Type 2 Diabetes with Skin Infections: Highlights the susceptibility of diabetic patients to skin infections due to compromised skin integrity.
4. Type 2 Diabetes with Skin Ulcers: Focuses on the development of ulcers, which are common complications in diabetic patients.
5. Type 2 Diabetes with Other Dermatological Complications: A broader term that includes various skin-related issues not specifically categorized.

Related Terms

1. Diabetes-Related Skin Complications: A general term that includes all skin issues related to diabetes, such as infections, ulcers, and dermatitis.
2. Diabetic Dermopathy: A specific skin condition characterized by light brown, scaly patches on the skin, often seen in diabetic patients.
3. Necrobiosis Lipoidica: A rare skin condition associated with diabetes that causes raised, reddish-brown patches on the skin.
4. Diabetic Foot Syndrome: A term that encompasses various foot-related complications, including skin issues, ulcers, and infections due to diabetes.
5. Skin Manifestations of Diabetes: A term used to describe the various skin conditions that can arise as a result of diabetes.

Clinical Context

Understanding the alternative names and related terms for E11.628 is crucial for healthcare providers, as it aids in accurate documentation, coding, and communication regarding patient care. Proper coding ensures that patients receive appropriate treatment for their specific complications, which can significantly impact their overall health outcomes.

In summary, E11.628 is associated with a range of alternative names and related terms that reflect the various skin complications that can arise in patients with Type 2 diabetes mellitus. Recognizing these terms can enhance clarity in clinical settings and improve patient management strategies.

The ICD-10 code E11.628 refers to Type 2 diabetes mellitus with other skin complications. This classification is part of the broader category of diabetes mellitus codes, specifically under the E11 codes for Type 2 diabetes. Understanding the criteria for diagnosing this condition involves recognizing both the general diagnostic criteria for diabetes and the specific skin complications associated with it.

General Diagnostic Criteria for Type 2 Diabetes Mellitus

The diagnosis of Type 2 diabetes mellitus typically follows the criteria established by the American Diabetes Association (ADA) and includes the following:

1. Fasting Plasma Glucose (FPG): A fasting plasma glucose level of 126 mg/dL (7.0 mmol/L) or higher.
2. Oral Glucose Tolerance Test (OGTT): A 2-hour plasma glucose level of 200 mg/dL (11.1 mmol/L) or higher during an OGTT.
3. A1C Test: A hemoglobin A1C level of 6.5% or higher.
4. Random Plasma Glucose: A random plasma glucose level of 200 mg/dL (11.1 mmol/L) or higher in a patient with classic symptoms of hyperglycemia or hyperglycemic crisis.

These criteria help establish the presence of diabetes, which is essential before considering any complications, including skin-related issues.

Skin Complications Associated with Type 2 Diabetes

The skin complications that may lead to the use of the E11.628 code can include a variety of conditions, such as:

1. Diabetic Dermopathy: Characterized by light brown, scaly patches on the skin, often found on the shins.
2. Acanthosis Nigricans: Dark, velvety patches of skin, typically found in body folds and creases, indicating insulin resistance.
3. Fungal Infections: Such as candidiasis, which can occur due to elevated blood sugar levels.
4. Bacterial Infections: Increased susceptibility to infections like boils or folliculitis.
5. Neuropathic Ulcers: Skin ulcers that develop due to nerve damage and poor circulation.

Diagnostic Criteria for Skin Complications

To diagnose skin complications associated with Type 2 diabetes, healthcare providers typically consider:

• Clinical Examination: Visual inspection of the skin for characteristic lesions or changes.
• Patient History: A thorough history of diabetes management, including blood glucose levels and any previous skin issues.
• Laboratory Tests: Blood tests to assess glucose control (e.g., A1C levels) and possibly cultures if an infection is suspected.

Conclusion

In summary, the diagnosis of E11.628, or Type 2 diabetes mellitus with other skin complications, requires a confirmed diagnosis of Type 2 diabetes based on established criteria, along with the identification of specific skin-related issues that arise as complications of the disease. Proper management of diabetes is crucial to prevent or mitigate these complications, emphasizing the importance of regular monitoring and patient education regarding skin care and diabetes management.

Type 2 diabetes mellitus (ICD-10 code E11.628) can lead to various skin complications, which are often a result of the underlying metabolic disorder. Managing these complications requires a comprehensive approach that addresses both the diabetes itself and the specific skin issues. Below is an overview of standard treatment approaches for this condition.

Understanding E11.628: Type 2 Diabetes with Skin Complications

Type 2 diabetes can cause a range of skin problems, including infections, diabetic dermopathy, and conditions like necrobiosis lipoidica and acanthosis nigricans. These complications arise due to factors such as poor circulation, neuropathy, and immune system dysfunction associated with diabetes. Effective management of these skin issues is crucial for improving the quality of life and preventing further complications.

Standard Treatment Approaches

1. Glycemic Control

Maintaining optimal blood glucose levels is fundamental in managing diabetes and its complications. Effective glycemic control can help prevent the progression of skin issues and promote healing. This can be achieved through:

• Medications: Oral hypoglycemics (e.g., metformin, sulfonylureas) and insulin therapy may be prescribed based on individual patient needs.
• Lifestyle Modifications: A balanced diet, regular physical activity, and weight management are essential components of diabetes care.

2. Topical Treatments for Skin Complications

Depending on the specific skin condition, various topical treatments may be recommended:

• Antibiotics: For bacterial infections, topical or systemic antibiotics may be necessary.
• Corticosteroids: These can help reduce inflammation and itching associated with skin conditions like eczema or dermatitis.
• Moisturizers: Regular use of emollients can help manage dry skin, which is common in diabetic patients.

3. Wound Care Management

For patients with diabetic ulcers or wounds, specialized wound care is critical:

• Debridement: Removing dead tissue from wounds can promote healing.
• Dressings: Appropriate dressings (e.g., hydrocolloid, alginate) can protect the wound and maintain a moist environment conducive to healing.
• Offloading: For foot ulcers, using specialized footwear or devices to relieve pressure is essential.

4. Infection Prevention and Management

Patients with diabetes are at higher risk for skin infections. Preventive measures include:

• Hygiene: Regular washing and drying of the skin, especially in skin folds, can help prevent infections.
• Monitoring: Regular skin checks for any signs of infection or complications are important for early intervention.

5. Referral to Specialists

In some cases, referral to dermatologists or endocrinologists may be necessary for advanced management of skin complications. This is particularly true for conditions that do not respond to standard treatments or require specialized interventions.

6. Patient Education

Educating patients about the importance of skin care, recognizing early signs of complications, and understanding the relationship between diabetes management and skin health is vital. This includes:

• Self-Examination: Encouraging patients to regularly check their skin for any changes or abnormalities.
• Foot Care: Providing guidance on proper foot hygiene and care to prevent ulcers and infections.

Conclusion

Managing type 2 diabetes mellitus with skin complications (ICD-10 code E11.628) requires a multifaceted approach that includes glycemic control, targeted skin treatments, effective wound care, and patient education. By addressing both the diabetes and its skin-related complications, healthcare providers can significantly improve patient outcomes and quality of life. Regular follow-ups and monitoring are essential to adapt treatment plans as needed and to prevent further complications.

ICD-10 code E11.628 refers to Type 2 diabetes mellitus with other skin complications. This classification is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used globally for the diagnosis and classification of diseases and health conditions.

Clinical Description

Overview of Type 2 Diabetes Mellitus

Type 2 diabetes mellitus (T2DM) is a chronic condition characterized by insulin resistance and relative insulin deficiency. It is the most common form of diabetes, often associated with obesity, sedentary lifestyle, and genetic predisposition. Patients with T2DM may experience a range of complications affecting various organ systems, including the skin.

Skin Complications Associated with Diabetes

Individuals with diabetes are at an increased risk of developing skin complications due to factors such as poor circulation, neuropathy, and immune system dysfunction. The skin complications can vary widely and may include:

• Diabetic Dermopathy: Characterized by light brown, scaly patches on the skin, often found on the shins.
• Acanthosis Nigricans: A condition marked by dark, velvety patches of skin, typically in body folds and creases.
• Fungal Infections: Such as candidiasis, which can occur in warm, moist areas of the body.
• Bacterial Infections: Increased susceptibility to infections like cellulitis and boils.
• Ulcers: Diabetic foot ulcers are a significant concern, often resulting from neuropathy and poor blood flow.

Specifics of E11.628

The code E11.628 specifically denotes cases where patients with Type 2 diabetes mellitus present with skin complications that do not fall into the more commonly recognized categories. This may include less common skin manifestations or complications that require specific management and treatment strategies.

Clinical Management

Management of skin complications in patients with T2DM involves:

• Glycemic Control: Maintaining optimal blood glucose levels is crucial to prevent and manage skin complications.
• Skin Care: Regular skin assessments, proper hygiene, and moisturizing to prevent dryness and cracking.
• Infection Control: Prompt treatment of any infections with appropriate antibiotics or antifungal medications.
• Wound Care: For ulcers, specialized wound care may be necessary, including debridement and the use of advanced dressings.

Documentation and Coding Considerations

When documenting cases under E11.628, healthcare providers should ensure that:

• The specific skin complications are clearly described in the medical record.
• The documentation supports the diagnosis of Type 2 diabetes and its associated skin complications.
• Any additional codes for specific skin conditions may be used in conjunction with E11.628 to provide a comprehensive view of the patient's health status.

Conclusion

ICD-10 code E11.628 is essential for accurately capturing the complexities of Type 2 diabetes mellitus with other skin complications. Proper coding and documentation not only facilitate appropriate treatment but also ensure that healthcare providers can track and manage the broader implications of diabetes on patient health. Regular monitoring and proactive management of skin complications can significantly improve the quality of life for individuals living with diabetes.